Can Liposuction Work for Malar Bags?

Is it possible to do liposuction with a microneedle on the malar bags from outside and remove the fat that way? I am male, 33, and always had the bags at the top of the cheekbone (they are not eyelid bags).

Doctor Answers 8

Malar bags

Generally a cheek lift is better suited to addressing malar bags. However, you should see a board certified plastic surgeon for specific advice regarding your situation. It is difficult to assess your concern without photos or more information.

Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews

Malar bags

Malar bags in the lower eyelids occur because the septum holding the fat surrounding the eye becomes weakened.  This area is not amenable to liposuction.  Visit with a board certified plastic surgeon to have a treatment plan designed just to meet your needs.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.3 out of 5 stars 35 reviews

Malar bags

Malar bags are not in my opinion fat excess but in fact edema. In some a steroid injection may reduce it ut never in my experience lipo.

Richard Ellenbogen, MD
Los Angeles Plastic Surgeon
4.7 out of 5 stars 30 reviews

Malar Bags: surgery or no surgery?

Hello Aesthetics,


Malar bags are swollen areas often considered delicate for liposuction with commendable results.


Without photographs and physical evaluation, it is hard to adopt an aesthetic procedure out of many (surgical or non-surgical); the nature and the level of prominence of the malar bags are important factors.


A consultation with an experienced surgeon will offer the candidate a well rounded background to come up with an educated decision.


Thank you for your question.


Best of Luck to you.

Dr. Sajjadian

Ali Sajjadian, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 196 reviews

Malar bags

That depends on whether or not there is fat there amenable to liposuction. I have done it and it worked quite well. You can see the before and after photos that I uploaded to my realself profile.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

Absolutely not

you cannot liposuction malar bags. they are due to edema. i have excised the malar bags in older men/women with good results. 

David E. Berman, MD
Sterling Plastic Surgeon
5.0 out of 5 stars 110 reviews

Malar bags

Malar bags are usually due to edema similar to  feet swelling. They are not amenable to surgery and may even get worse.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Liposuction does not work for malar bags.

Malar bags (just that you know this name means you understand they are not the same as "bags under the eyes") are not treatable with liposuction. This is a skin/swelling problem separate from the skin/fat problems that usually lead to lower eyelid lifts/tucks.  They seem to be more evident in smokers and those with low thyroid, but can occur in the absence of both.  Treatments include lasers and direct excision. 

James E. Chappell, MD
Annapolis Plastic Surgeon
5.0 out of 5 stars 18 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.